On February 1, the Department of Finance (DOF) released budget
trailer bill language (posted
here) from the Department of Health Care Services (DHCS)
proposing to delay the implementation of the carve-in of
intermediate care facility for the developmentally disabled
(ICF/DD), and adult and pediatric subacute care facility services
from July 1, 2023, to January 1, 2024. Effective January 1, 2024,
members receiving ICF/DD or subacute care facility services would
be required to enroll in a Medi-Cal managed care plan (MCP), and
DHCS will require MCPs to cover these services. This proposed
trailer bill language still needs to be incorporated into a
formal budget trailer bill vehicle (Senate or Assembly bill),
progress through the legislative budget process, and be signed by
the Governor to become law.
DHCS has indicated they will continue to actively engage with
stakeholders to inform operationalizing these policies, including
the development of an All-Plan Letter and related guidance to
successfully transition ICF/DD and subacute care facility
services under Medi-Cal managed care by January 1, 2024.
Additional details and updates are available on the
CalAIM Long-Term Care (LTC) Carve-In transition webpage.
